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SECTION 00942 - Change Order Form <br />DATE OF ISSUANCE: 07/14/2020 <br />No 1 <br />EFFECTIVE DATE: 07/14/2020 <br />OWNER: Indian River County <br />CONTRACTOR: Timothy Rose Contracting Inc. <br />Project: Old Dixie Highway and Highland Drive Intersection Improvements <br />OWNER's Project No.IRC-1362 <br />OWNER'S laid No. 2019025 <br />You are directed to make the following changes in the Contract Documents: <br />Reason for Change Order: <br />The project is complete. This change order is intended to make final adjustments to bid line <br />items in order to finalize the contract amount and release retainage to the Contractor and <br />make time adjustments. <br />Attachment: <br />Description of Itemized Changes <br />CHANGE IN CONTRACT <br />PRICE: <br />Description <br />Amount <br />_ <br />Original Contract Price <br />$415.984.32 <br />Net decrease of this Change <br />Order: <br />$(4,227.01) <br />Contract Price with all <br />approved Change Orders: <br />$411,757,31 <br />ACCEPTED: <br />By: Timothy Rose Cogtracting, Inc. <br />CONTRACTOR (Signature) <br />Date 7/2/2020 <br />CHANGE IN CONTRACT TIMES <br />Description___ <br />Time <br />Original Contract Time: <br />(days/dates) <br />Substantial Completion: <br />150 <br />Final Completion: <br />180 <br />Net increase this Change Order: <br />P.E., IRC <br />Substantial Completion: <br />(days) <br />Final Completion: <br />43 <br />43 <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion: <br />193 12/29/2019 <br />223 1/2812020 <br />Final Completion: <br />RECOMMENDED: <br />Kirstin Digitally signed by Kirstin <br />Leiendecker <br />Leiendecker Date: 2020.07.0909:54:14 <br />-04,00 <br />By: Kirstin Leiendecker, P.E., IRC <br />(Signature) <br />APPROVED: <br />Richard B. <br />signed by <br />Ric arld B. Szpyrka RE <br />Szpyrka P.E <br />ale: 20 <br />15:47:31-04'00'a <br />By: Richard B. Szpyrka, <br />P.E., IRC <br />Public Works <br />OWNER (Signature) <br />iRCA 362 Cn1 20200707 <br />00942-1 <br />FAIDublie WorksIENGINEERiNG DIVISION PROJECTSM62-Old Bide Hwy_Hightand [W-ndmmVlgenda itens%Projecl Closeout\IRC 1362_C01._20200707.doc Rev, 0,W1 <br />